STEPHEN R MALCOLM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002884

License Status

NOT RENEWED

Business

First Name

STEPHEN R

Last Name

MALCOLM

Business Name

STEPHEN R MALCOLM

Original Issue Date

05/29/1984

Expiration Date

11/30/1987

City

ROUND LAKE PARK

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2005